Individual
JARED ALEXANDER STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 271-4351
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041418380
IL
367500000X
Certified Registered Nurse Anesthetist
1028724
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
219907
OK
Other
Enumeration date
01/20/2021
Last updated
12/20/2024
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